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„��.�,��T���oF �orus�-�ucrion� <br /> �VeI'��t PERM�T pE�MIT NO. 1OS41 <br /> CITY HALL 259�II7n5 <br /> evEaerr. wa ��au, ❑ COMBINATION ❑ BUILDING MErHANICAL <br /> �— }�' ( ❑ PLUM131NG <br /> ��•:r�E�, <br /> rnnn nooness c�rr �i�� <br /> William Richardson ��,cue <br /> 3210 Lombard Everett <br /> <90ai[CT OP pESiC:CR MqIL F�DRE55 — <br /> GtY 2iP PHONE <br /> I c,hucRA�WMRACiOR <br /> MAIL AD�RE55 GIIY ZIP PHONE <br /> UCENSE r <br />, IdECHAlIIOq�CONiRACiOR IAAIL A��FE55 <br /> Natural Gas Equipment 1611 East Grand ��TY Z1P PHONE i,�r,;;�, <br />� Everett 98201 258-2441 <br /> P W M1iBING C@�TqqCTOR 61q11,ApORE55 <br />� ��rt ZIP PHONE �ICEtlSE� <br /> CLAS$OF 1YORK <br /> ❑NEW ❑ADUITIUN ❑A�TERATION ❑R[PqIH ❑DEMOUi1CIJ ❑FENCE ❑SIGN ❑GARA�E <br /> VALVAiION OF W(`,qK <br /> 4 � <br /> OESCRIpE WORH <br /> PROPOSED USE OF 9UILDING -- <br /> f� I NERE61' CERTIFY THAT I HAVE READ AND EXAMMED THIS PP� <br />' �ecn�oeseaianoNOFaaoaearr�sNowae�owoann�,a�wuncor�iesi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> �o. BLOCK_OF ALL PRO\�ISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />� — TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> I — HEREIY ��R N07. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME�.TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL IAW REGULATING <br /> CONSTRI,CTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> 8J0 A�URE55 SiGNAT RE 0”CUN?RACTOR OR AU*HORIZED AGENT <br /> 3210 Lombard � � Q � onre <br /> — X C �1•t��(15PilMalL 8/4 /E2 <br /> II � PLUMBING MEC ANICA� <br />��f ND• TYPE OF FIXTURE OR ITEM FEE IJO. TYPE OF EQUIPMENT <br /> WATER CIOSET ROILETI FEE <br /> AIR C7ND.UNITS—H.F.EA. <br /> I BATHiUB REFR GERATION UNITS—H.P.EF <br /> LAVATORY(WASH BASIN) BOILERS—HP.EA <br />� SHOWEP GAS HRED A.C. UNITS—TONNAGE EA _ <br /> KITCHEN SINK 8 UISP. FORCiED AIR SVSTEMS—B.T.U. Id EA. <br /> DISH WFSH[R — -- <br /> l'JALL HEATERS—�i.U. �,� <br />� LAUNORY TRAY UNIT HEATERS—B.T.U. <br /> CLOTHES V✓ASHER M <br /> EVAPr�qq7iVE COOLEf75 <br /> WATER HeATeR CLOTF�ES DRYERS <br /> URINAL VENTIIATION FAN <br />'I DR�NKING FOl1NTAIN RANGI:HOOD <br /> R.00P DRAIN AIR Hi.NDLING UNIT— <br /> VACUUld BRGKERS GF.ld. <br /> I STOVE_ <br /> ROOiT DRAINS—RAWLEADERS METAL FIREPIACE&CHIMNEV <br /> SINK ISERVICE—BAR,E7CJ <br /> 1 N a ]• �� <br /> SUBTOTAL SUB TOTAL § - <br /> PERMIT S PEHMIT S <br /> TO7AL FEE S 3 0 0 <br /> SIDE YARD SETBACK r. TO7AL FEE S 5 00 <br /> STR[_TSET9ACK RFAR YAR�SETdACK PLAN CHECK NIJMBER PLAN CHECK FFc <br /> USE ZONE LOT AREA VACANT SITE FEE RECEIPT N0. <br /> I]VES l7N0 FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELUNG UNITS <br /> SiZL OF BLDG. NO.OF STORIES MAX.OCC.LOAD BUILDING a <br /> PLUMBING <br /> I9HE ZONE �ASEGIENT FIRE SPRINKLERS <br /> F�OSIR[DNO MECHANICAL S OO <br /> APPHOVALS BY DATE OTHER <br /> 1. [NVIRONMENTAL CHECK LIST <br /> ' E3UILDING PLANS PENFLTY U B.0 <br /> _ SEC.303�a) <br /> 5. f9RF.HVDRANT TOTAL S 00 <br /> �. FIRE PROTECTION SYSTEM PEHMIT VALIDATION <br /> I 5. GRADING �N�{EN PqOPGRIY VFLIDATED QN THIS SPACE)THIS IS VOUR PERMIT I <br /> C, DRAINAGG 5 8 O ' P,O O 5. O � ' � <br /> �. ENVIPONIdENTALIMPACI'STATEMENT • � ' <br /> U HEALTH DISTRICT � • � ' OO <br /> APPUCATIOh ACC.BY PLANS CN[CKED�� APPR.FOR ISSUANC[BY .f V'U R R EC E!!'7' � <br /> : TE�/`,hi!', 'YO t1 <br /> ;:eor:ess r-i�� � 4 �;� ;Z <br />